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General NPI Number Information
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NPI Number | 1891344693
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Entity Type | Organization
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Legal Business Name | ANIL SWARUP MD PLLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 5680 FRISCO SQUARE BLVD
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City | FRISCO
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State | TX
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Zip | 75034-3300
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Country | US
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Telephone | 469-535-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 808 WARWICK BLVD
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City | LEWISVILLE
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State | TX
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Zip | 75056-6302
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Country | US
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Telephone | 469-404-2687
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | ANIL SWARUP
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Credential | MD
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Telephone | 469-404-2687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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